| NPI | 1932302239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES D BASS Director 702-384-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-12-07 |